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<br />03/13/2007 14:52 FAX 14024714429 <br /> <br />NEBRASKA Dee <br /> <br />~ 003/005 <br /> <br />oct <br /> <br />12414 <br /> <br />Depa'rtment of the Treasury - Internal Revenue Service <br />f Notice of Federal Tax Lien 20070-1910 <br /> <br />Serial Number For 0 tional Use QY Recordln Office <br /> <br />Form 668 (Y)(c) <br />(Rev, Frbruary 2004) <br /> <br />Area: <br />WAGE & INVESTMENT AREA #2 <br />Lien nit Phone: (800) 829-7650 348113407 <br /> <br />As rovlded by section 6321, 6322, land 6323 of the Internal Revenue <br />C~e, we are giving a notice that tax~ (Including interest and penalties) <br />have been assessed against the folloWlpg-named taxpayer. We have made <br />a d~mand for payment of this Iiability~ but it remains unpaid. Therefore, <br />the~e is a lien in favor of the United $tates on all property and righu to <br />property belonging to this taxpayer f9r the' amount of these taxes, and <br />add~tional penalties, interest, and cosr that may accrue. <br /> <br />Name of Taxpayer-PEDRO LOPEZ-LA$TOR <br /> <br /> <br />FT~ <br /> <br />9911l7511ll/l853-7 <br />LOPEZ-LASTOR PEDRO <br />Fil_d, 0311312007 09:43 AM <br /> <br />PillS: 1 <br /> <br />Residence <br /> <br />921 W 4TH ST,APT 6 <br />GRAND ISLAND, NE 68801-4458 <br />i <br /> <br />IMPORTANT RELEASE INFORMATION: For each assessment listed below, <br />unless notice of the lien is refiled by the diilte given in column (e), this notice shall, <br />on the day following such date, operate: as a certificate of release as defined <br />in ,IRC 6325(a). . i <br /> <br /> Tax Period ! Date of' Last D~ for Unpaid Balance <br /> , <br />Kind of Tax Endinc Identifyi~g 'Number Assessment Re Iftg of AsseSsment <br />a b ~c) d (e) ( <br />1040 12/3'1/1997 XXX-Xx-6109 09/20/2004 10/20/2014 8928.13 <br />1040 12/31/2000 XXX ;"-XX - 610 9 09/20/2004 10/20/2014 5771. 99 <br /> <br />Place of Filing <br /> <br />Register of ~eeds <br />Hall POBOX 1~92 <br />Grand Islandt NE 68802-1692 <br /> <br />Total $ <br /> <br />14700.12 <br /> <br />This notice was prepared and signed at <br /> <br />ST PAUL, MN <br /> <br />, on this, <br /> <br />the <br /> <br />28th day of February <br /> <br />2007 <br /> <br />Signature <br /> <br /> <br />Title <br />ACS <br />(800) 829-7650 <br /> <br />12-00-0000 <br /> <br />for DEBRA K. HURST <br /> <br />(HOTE: Certificate of officer authorized by law to tak.e acknowledgment is not essential to the validity of Notice of Federal Tax lien <br />.Rev. Aul. 7 1 -4~6, 1971 - 2 C.B. 409) I" . _ Form 668(Y)(c) (Rev. 2-2004) ~ <br />Part 1 - Kept By Recording Offi~ , CAT. NO 60025X nj <br />